Organization Active NPI

Beckmans Prescription Shop

  • Durable Medical Equipment & Medical Supplies
  • Murfreesboro, TN
National Provider Identifier
1255312658
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BECKMANS PRESCRIPTION SHOP
Practice address
120 E College St
Murfreesboro, TN 37130-3723
Phone
(615) 893-6661
Fax
(615) 849-8344
NPI assigned
Nov 11, 2005
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Keith W Beckman, PHARMDNPI 1942857362
Title
Owner/ Pic
Phone
(615) 893-6661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

120 E College St
Murfreesboro, TN 37130-3723

Mailing address

120 E College St
Murfreesboro, TN 37130-3723
Phone (615) 893-6661

Other identifiers 1

IdentifierTypeStateIssuer
3525371MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906000745 TN Part B Supplier - Pharmacy 7911025481 Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

120 E College St
Murfreesboro, TN 37130
Phone (615) 893-6661

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1255312658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E COLLEGE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303723",
            "telephone_number": "615-893-6661",
            "fax_number": "615-849-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E COLLEGE ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303723",
            "telephone_number": "615-893-6661",
            "fax_number": "615-849-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKMANS PRESCRIPTION SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "615-893-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3525371",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.